Facility Evaluation Report

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA was greeted and granted entry by Staff Sylvia Barlahan, Staff Marvin Flores was also present. LPA discussed the purpose of the inspection and Administrator (AD) Michael San Diego was contacted by phone by Staff Barlahan. AD stated they were unable to be present for today's inspection and Staff Barlahan would be assisting LPA.

During the inspection LPA and Staff Barlahan conducted a tour of the inside and outside of the facility, common areas, client rooms, kitchen, garage and observed the following:

This is a one-story home with three client bedrooms, two bathrooms, one staff bedroom, and one staff office. All client bedrooms had the required furnishings. LPA observed all client beds had linens and blankets. The front courtyard of the facility has a shaded sitting area. LPA observed two staff and three clients present, per staff, three clients were away at day program. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested at 105.0 F degrees.

LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted in the living area and entranceway of the facility. Food menu was also posted and visible. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to be mounted and fully charged. Stove burners, microwave, washer, and dryer were all inspected. Sharps were observed locked in a kitchen drawer. All and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to clients. Medication cabinet was observed to be kept locked in the staff office. LPA reviewed six client files and three staff files; a Deficiency was cited on today’s date. LPA interviewed three clients and two staff. (Cont. LIC908-C)